Address of Witness. ~SIGNATURE OF GUARANTOR ............................................................................................................................................
Address of Witness. GUARANTOR’S ACKNOWLEDGEMENT & SIGNATURE
Address of Witness. By executing this agreement the attorney states .......................................... ) that the attorney has received no notice of Occupation of witness ) revocation of the power of attorney )
Address of Witness. Executed on behalf of Quotient Limited by ........................................................ (signature) Full Name:........................................................ Director/Company Secretary/Authorised Signatory* at...................................................................... on .................................................................... * Please delete as applicable In the presence of this witness: Witness' Signature: ........................................................................ Full name of witness: ........................................................................
Address of Witness. By executing this deed the attorney ) states that the attorney has received no .................................. ) notice of revocation of the power of Occupation of witness ) attorney
Address of Witness. DATE …………………………………………………………………………………………………………………………….
Address of Witness. Address of Authorised Officer DATED / / 2010 EXECUTED by THE NEW SOUTH WALES NURSES' ASSOCIATION, and BRANCH SECRETARY AUSTRALIAN NURSING FEDERATION – NSW BRANCH by being signed by those persons who are authorised to sign on its behalf: ) ) ) .......................................................................... ................................................................................... Witness ................................................................................... Name of Authorised Officer ...................................................................................
Address of Witness. Signed by me (the Customer).
Address of Witness. Occupation: ...................................................
Address of Witness. By executing this agreement the attorney ) states that the attorney has received no .................................. ) notice of revocation of the power of Occupation of witness ) attorney GLOBAL TRUST MANAGER
